EcoR1 Capital, LLC

In its 13F for Q1 2024 (holdings as of March 31, 2024, filed May 15, 2024), EcoR1 Capital, LLC reported 54 stock positions worth $3.9 billion. Its top holding was Apellis Pharmaceuticals (APLS) at 17.0% of the portfolio, followed by Prothena (PRTA, 7.3%) and Arvinas (ARVN, 7.1%). Compared with Q4 2023, it opened 16 new positions, sold out of 9, added to 8 and reduced 3. The biggest buy was Sarepta Therapeutics (SRPT, shares +131%) and the biggest sale an exit from Mirati Therapeutics (MRTX).

Most Recent 13F
Q2 2026
Location
San Francisco, CA
CIK
0001587114
Portfolio Value
$3.9B (Q1 2024)
SEC Filing
0000935836-24-000391 ↗ filed May 15, 2024

Holdings Value

0$1.0B$2.0B$3.0B$4.0B Q1 2024: $3.9B $3.9B Q1 2024 Q2 2024: $3.3B Q2 2024 Q3 2024: $2.9B Q3 2024 Q4 2024: $2.5B Q4 2024 Q1 2025: $1.7B Q1 2025 Q2 2025: $1.7B Q2 2025 Q3 2025: $2.1B Q3 2025 Q4 2025: $2.2B Q4 2025 Q1 2026: $2.3B Q1 2026 Q2 2026: $2.0B Q2 2026

Holdings 54 stocks · $3.9B

APLS Apellis Pharmaceuticals Inc. 16.97% 11,357,425 $667.6M Add +1.6%
PRTA Prothena Corp. PLC 7.29% 11,584,280 $286.9M No change
ARVN Arvinas Inc. 7.06% 6,726,491 $277.7M No change
SRPT Sarepta Therapeutics Inc. 6.32% 1,919,835 $248.5M Add +130.5%
CRNX Crinetics Pharmaceuticals Inc. 4.95% 4,155,375 $194.5M Add +106.5%
LKFT Lakefront Biotherapeutic-ADR filed as GALAPAGOS NV 4.71% 5,756,268 $185.4M No change
ANAB Anaptysbio Inc. 4.31% 7,521,024 $169.4M No change
ZYME Zymeworks Inc. 3.59% 13,437,473 $141.4M No change
KURA Kura Oncology Inc. 3.15% 5,806,871 $123.9M No change
JAZZ Jazz Pharmaceuticals PLC 3.10% 1,013,952 $122.1M No change
XNCR Xencor Inc. 3.00% 5,330,416 $118.0M Add +0.9%
ACAD Acadia Pharmaceuticals Inc. 2.82% 5,991,479 $110.8M No change
TNGX Tango Therapeutics Inc. 2.69% 13,330,736 $105.8M No change
IMNM Immunome Inc. 2.43% 3,879,415 $95.7M No change
CRSP Crispr Therapeutics AG 2.41% 1,389,276 $94.7M New
MERSANA THERAPEUTICS INC 2.21% 19,364,688 $86.8M No change
MORF Morphic Holding Inc. 2.13% 2,384,384 $83.9M Add +1028.6%
NUVB Nuvation Bio Inc. 1.78% 19,209,643 $69.9M No change
NGNE Neurogene Inc. 1.65% 1,271,342 $64.7M No change
CNTA Centessa Pharmaceuticals Ltd. 1.61% 5,618,779 $63.5M No change
ORIC Oric Pharmaceuticals Inc. 1.19% 3,418,068 $47.0M No change
ADAPY Adaptimmune Therapeutics-ADR 1.10% 27,404,070 $43.3M New
TCRX Tscan Therapeutics Inc. 1.01% 5,000,000 $39.7M No change
VYGR Voyager Therapeutics Inc. 0.93% 3,917,546 $36.5M Add +1.7%
THRD Third Harmonic Bio Inc. 0.76% 3,182,444 $30.0M No change
NMRA Neumora Therapeutics Inc. 0.72% 2,071,450 $28.5M No change
CLDX Celldex Therapeutics Inc. 0.69% 650,000 $27.3M New
ITOS Iteos Therapeutics Inc. 0.69% 1,999,249 $27.3M Add +79.3%
LENZ Lenz Therapeutics Inc. 0.69% 1,219,774 $27.2M New
AVIR Atea Pharmaceuticals Inc. 0.63% 6,145,861 $24.8M Reduce -12.2%
ALEC Alector Inc. 0.62% 4,056,548 $24.4M No change
EWTX Edgewise Therapeutics Inc. 0.58% 1,250,385 $22.8M Reduce -64.2%
NKTX Nkarta Inc. 0.55% 2,000,000 $21.6M New
PHVS Pharvaris NV 0.53% 900,000 $20.8M No change
PCVX Vaxcyte Inc. 0.52% 300,000 $20.5M New
MDGL Madrigal Pharmaceuticals Inc. 0.51% 75,000 $20.0M New
RNAM Avidity Biosciences Inc. 0.49% 757,576 $19.3M New
OVID Ovid Therapeutics Inc. 0.47% 6,117,400 $18.7M No change
VERV Verve Therapeutics Inc. 0.42% 1,250,000 $16.6M No change
KROS Keros Therapeutics Inc. 0.32% 187,500 $12.4M New
DYN Dyne Therapeutics Inc. 0.31% 427,039 $12.1M New
KYTX Kyverna Therapeutics Inc. 0.28% 450,000 $11.2M New
GOSS Gossamer Bio Inc. 0.28% 9,195,404 $10.9M No change
ALLOVIR INC 0.22% 11,294,585 $8.5M New
KOD Kodiak Sciences Inc. 0.22% 1,613,600 $8.5M New
GBIO Generation Bio Co. 0.21% 2,046,867 $8.3M No change
ATRA Atara Biotherapeutics Inc. 0.18% 10,167,043 $7.1M Add +1.0%
PRQR Proqr Therapeutics NV 0.17% 2,884,357 $6.6M Reduce -3.2%
ALGS Aligos Therapeutics Inc. 0.16% 6,389,468 $6.3M No change
ARQT Arcutis Biotherapeutics Inc. 0.13% 500,000 $5.0M New
PRME Prime Medicine Inc. 0.12% 700,000 $4.9M New
HOOKIPA PHARMA INC 0.08% 4,595,024 $3.3M No change
PMVP PMV Pharmaceuticals Inc. 0.02% 566,879 $964K No change
ALPN Alpine Immune Sciences Inc. 0.00% 1,000 $40K New

Options reported separately and not counted above: KURA calls ($14.9M), KOD calls ($269K).

Other holdings (3): bonds, preferreds, convertibles and warrants · $5.0M (not counted above)
SecurityClassShares / PrincipalValueChange
NUVB.WS Nuvation Bio Inc. -CW27 *W EXP 02/10/202 963,333$3.5MNo change
SRZNW Surrozen Inc.-CW25 *W EXP 08/01/203 66,665$1.0MNo change
CMXWQ Caremax-CW *W EXP 06/08/202 100,000$482KNo change

Total filed on the 13F, all lines: $3.9B.

Portfolio Sells Q4 2023 → Q1 2024

MRTX Mirati Therapeutics Inc. Sold out 0.00% −11.29
ARGX Argenx SE - ADR Sold out 0.00% −2.98
GRPH Graphite Bio Inc. Sold out 0.00% −0.58
SYRE Spyre Therapeutics Inc. Sold out 0.00% −0.50
EWTX Edgewise Therapeutics Inc. Reduce -64.2% 0.58% −0.41
RVMD Revolution Medicines Inc. Sold out 0.00% −0.10
NGM NGM Biopharmaceuticals Inc. Sold out 0.00% −0.05
ALLK Allakos LLC Sold out 0.00% −0.05
TYRA Tyra Biosciences Inc. Sold out 0.00% −0.05
PHAT Phathom Pharmaceuticals Inc. Sold out 0.00% −0.05
PRQR Proqr Therapeutics NV Reduce -3.2% 0.17% +0.01
AVIR Atea Pharmaceuticals Inc. Reduce -12.2% 0.63% +0.08

Portfolio Buys Q4 2023 → Q1 2024

SRPT Sarepta Therapeutics Inc. Add +130.5% 6.32% +4.23
CRNX Crinetics Pharmaceuticals Inc. Add +106.5% 4.95% +3.08
CRSP Crispr Therapeutics AG New 2.41% +2.41
MORF Morphic Holding Inc. Add +1028.6% 2.13% +1.98
ADAPY Adaptimmune Therapeutics-ADR New 1.10% +1.10
CLDX Celldex Therapeutics Inc. New 0.69% +0.69
LENZ Lenz Therapeutics Inc. New 0.69% +0.69
NKTX Nkarta Inc. New 0.55% +0.55
PCVX Vaxcyte Inc. New 0.52% +0.52
MDGL Madrigal Pharmaceuticals Inc. New 0.51% +0.51
RNAM Avidity Biosciences Inc. New 0.49% +0.49
ITOS Iteos Therapeutics Inc. Add +79.3% 0.69% +0.38
KROS Keros Therapeutics Inc. New 0.32% +0.32
DYN Dyne Therapeutics Inc. New 0.31% +0.31
KYTX Kyverna Therapeutics Inc. New 0.28% +0.28
ALLOVIR INC New 0.22% +0.22
KOD Kodiak Sciences Inc. New 0.22% +0.22
ARQT Arcutis Biotherapeutics Inc. New 0.13% +0.13
PRME Prime Medicine Inc. New 0.12% +0.12
XNCR Xencor Inc. Add +0.9% 3.00% +0.09
VYGR Voyager Therapeutics Inc. Add +1.7% 0.93% +0.08
ATRA Atara Biotherapeutics Inc. Add +1.0% 0.18% +0.05
ALPN Alpine Immune Sciences Inc. New 0.00% +0.00
APLS Apellis Pharmaceuticals Inc. Add +1.6% 16.97% −0.41

Options Activity Q4 2023 → Q1 2024

KURA Kura Oncology Inc. call New 700,000 $14.9M
KOD Kodiak Sciences Inc. call New 51,100 $269K

Calls and puts are listed by the shares they cover; their value is not part of the stock holdings above.

Notes & Other Activity Q4 2023 → Q1 2024

NAMSW Newamsterdam Pharma Co. NV-27 *W EXP 99/99/999 Sold out 66,665 $745Kbefore exit

Bonds, preferreds, convertibles and warrants; not part of the stock holdings or percentages above.

All Filings

QuarterPositions13F Reported ValueTop Holdings
Q2 2026 30$2.0BZYME, ANAB, AKTS, CGON, ETON
Q1 2026 28$2.3BZYME, ANAB, JAZZ, CNTA, CRNX
Q4 2025 26$2.2BZYME, ANAB, JAZZ, CRNX, CNTA
Q3 2025 28$2.1BZYME, ANAB, QURE, JAZZ, CRNX
Q2 2025 34$1.7BZYME, APLS, JAZZ, ANAB, CRNX
Q1 2025 42$1.7BAPLS, JAZZ, ZYME, ANAB, CRNX
Q4 2024 53$2.5BAPLS, ZYME, CRNX, JAZZ, PRTA
Q3 2024 60$2.9BAPLS, ANAB, CRNX, PRTA, JAZZ
Q2 2024 52$3.3BAPLS, PRTA, SRPT, ANAB, CRNX
Q1 2024 54$3.9BAPLS, PRTA, ARVN, SRPT, CRNX